Saudi Journal of Gastroenterology
Home About us Instructions Submission Subscribe Advertise Contact Login    Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
Users Online: 257 


 
Table of Contents   
IMAGE QUIZ  
Year : 2013  |  Volume : 19  |  Issue : 1  |  Page : 54-55
Colonic lacerations, mucosal scars and image enhancement: An on-the-spot diagnosis


Centre for Liver and Digestive Disorders, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom

Click here for correspondence address and email

Date of Web Publication11-Jan-2013
 

How to cite this article:
Smirnidis A, Alexandridis E, Koulaouzidis A. Colonic lacerations, mucosal scars and image enhancement: An on-the-spot diagnosis. Saudi J Gastroenterol 2013;19:54-5

How to cite this URL:
Smirnidis A, Alexandridis E, Koulaouzidis A. Colonic lacerations, mucosal scars and image enhancement: An on-the-spot diagnosis. Saudi J Gastroenterol [serial online] 2013 [cited 2021 Oct 16];19:54-5. Available from: https://www.saudijgastro.com/text.asp?2013/19/1/54/105929


An 84-year-old female was admitted with acute-on-chronic renal failure. She had been complaining of profuse, watery diarrhoea and vomiting for few weeks prior to her admission. She had a previous history of aortic valve replacement and hypothyroidism for which she was on beta-blockers, frusemide, aspirin and levothyroxine. She was also on lansoprazole. Stool microscopy and cultures were negative, whilst the kidney ultrasound and autoimmune profile were unremarkable. Her colonoscopy showed lacerations in the right colon and a longitudinal mucosal fracture with an adjacent cicatricial lesion in the rectum [Figure 1]a. A reticulo-nodular mucosal pattern was also noted with indigo carmine chromoendoscopy [Figure 1]b.

Another 77-year-old female, on long-term lansoprazole and naproxen, was referred for evaluation of increased bowel frequency and abdominal pains. A colonoscopy revealed few cicatricial lesions in the left colon and fresh mucosal lacerations in the ascending colon [Figure 2]a. Furthermore, application of Index of Haemoglobin (IHb) colour enhancement revealed redness of the surrounding mucosa [Figure 2]b.
Figure 1: (a) Longitudinal mucosal fracture and adjacent cicatricial lesion in the rectum; (b) Reticular-nodular mucosal pattern with indigo carmine chromo endoscopy

Click here to view
Figure 2: (a) Fresh mucosal lacerations in ascending colon; (b) Index of Haemoglobin (IHb) colour enhancement showed clear redness of the surrounding mucosa

Click here to view



   Questions Top


Q1. What is the diagnosis?

Q2. What are the suggestive features of this entity on endoscopy and chromoendoscopy?



Click here to view answer. View Answer


 
   References Top

1.Koulaouzidis A, Saeed AA. Distinct colonoscopy findings of microscopic colitis: Not so microscopic after all? World J Gastroenterol 2011;17:4157-65.  Back to cited text no. 1
[PUBMED]    
2.Suzuki G, Mellander MR, Suzuki A, Rubio CA, Lambert R, Björk J, et al. Usefulness of colonoscopic examination with indigo carmine in diagnosing microscopic colitis. Endoscopy 2011;43:1100-4.  Back to cited text no. 2
    
3.Cimmino DG, Mella JM, Pereyra L, Luna PA, Casas G, Caldo I, et al. A colorectal mosaic pattern might be an endoscopic feature of collagenous colitis. J Crohns Colitis 2010;4:139-43.  Back to cited text no. 3
[PUBMED]    
4.Igarashi M, Saitoh Y, Fujii T. Adaptive index of haemoglobin color enhancement for the diagnosis of colorectal disease. Endoscopy 2005;37:386-8.  Back to cited text no. 4
[PUBMED]    

Top
Correspondence Address:
Anastasios Koulaouzidis
Centre for Liver and Digestive Disorders, 51 Little France Crescent, Edinburgh, Scotland, EH16 4SA
United Kingdom
Login to access the Email id

Source of Support: Dr. E Alexandridis has received research support (unrelated to this work) by FUJINON. Dr. A Smirnidis is supported by a grant from ELIGAST. Dr. A Koulaouzidis has received Lecture Honoraria from Dr. FalkPharma UK Ltd and research support from Given® Imanging Ltd (unrelated to this work)., Conflict of Interest: None


DOI: 10.4103/1319-3767.105929

Rights and Permissions


    Figures

  [Figure 1], [Figure 2]



 

Top
  
 
  Search
 
  
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  


   Questions
   Answers
    References
    Article Figures

 Article Access Statistics
    Viewed2051    
    Printed59    
    Emailed0    
    PDF Downloaded256    
    Comments [Add]    

Recommend this journal